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New York rates for HCPCS A9578

Injection, gadobenate dimeglumine (MultiHance multipack), per ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $4.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $3.90
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.15
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $2.42 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.86 / $1.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.71 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.86 / $2.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $2.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $5.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.78 / $5.64